Document Type : Original Article
Authors
1 Health Information Management, Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
2 Professor, Neurology, Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
Abstract
Introduction: Discharge against medical advice (DAMA) can be an important indicator of patient dissatisfaction. This study examined the reasons for the DAMA in Shafa hospital (Kerman, Iran). Methods: This was a descriptive cross-sectional study within August 2010 to March 2011 on patients in this hospital. Over 9295 inpatients were discharged, 483 had DAMA and were assigned 190 contacts and out of 3600 outpatients, 382 had DAMA and 128 contacts. Results: The rate of personal satisfaction for discharge in hospital wards was 5.19%. And it was 10.61% in outpatient which showed no statistically significant differences between the men and women. 45% of the personal desires to cause of hospital and 55% of hospital discharge with a personal desire reasons. Conclusion: In Shafa hospital, we might decrease the DAMA with treatment strategies such as increasing patient awareness from potential complications of the disease, the treatment plan for patients, creating a good atmosphere to relax patients, appropriate landscape design environment and etc. Keywords: Patient Discharge; Personal Satisfaction; Patients; Hospitals
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